- US Tech Solutions (Robbinsville, NJ)
- …**Job Description:** Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and ... ** Part -time** : **Monday-Friday 8 am-12 pm (Hours are flexible)**...processing fee-for-service claims , billing and eligibility inquiries and other assigned… more
- Zurich NA (New York, NY)
- Litigated Claims Specialist , Auto BI 123675 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... expected. Zurich North America is currently hiring a Litigation Claims Specialist to join our Auto Bodily...position is $58,700.00 - $96,200.00, with short-term incentive bonus eligibility set at 10%. As an insurance company, Zurich… more
- Atlantic Health System (Morristown, NJ)
- …Management Specialist is responsible for overseeing complex insurance claims , verifying patient insurance coverage, and ensuring accurate and efficient billing ... processes. This role requires advanced knowledge of insurance policies, claims processing, and patient interaction to resolve billing issues effectively. Manages… more
- CDM Smith (Edison, NJ)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... eligibility and priority of assignments to include but not...needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes… more
- CDM Smith (Edison, NJ)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... projects. * Prepares complex project worksheets for the purposes of determining project eligibility , scopes of work and estimating costs to repair or replace a… more
- CDM Smith (Edison, NJ)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim... for reasonableness to report to FEMA regarding claim eligibility . Participates in and assists with the development of… more
- Guardian Life (Holmdel, NJ)
- …administrative procedures and key resource for day-to-day tier 3 escalations related to eligibility , enrollment, and claims . This includes but is not limited to: ... individual to join our team as a Benefits Operations Specialist . This role is responsible for serving as a...deliver project objectives. Ability to work independently and as part of a team. (Relationship Management/ Collaboration) + Experience… more
- Elevance Health (Woodbridge, NJ)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more